| NPI | 1750493086 |
|---|---|
| Former Legal Business Name | GREAT LAKES CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW EDGAR ERICKSON Owner 231-946-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301007661) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-02-19 |